National Provider Identifier [NPI]: |
1164458998 |
Last Name Of The Provider |
MCKNIGHT |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 N STATE ROUTE 291 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LIBERTY |
Zip Code Of The Provider |
640681045 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
12047 |
Number Of Medicare Beneficiaries |
2341 |
Total Submitted Charge Amount |
3412104.56 |
Total Medicare Allowed Amount |
1707217.09 |
Total Medicare Payment Amount |
1275789.77 |
Total Medicare Standardized Payment Amount |
1290336.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1950 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
734543.56 |
Total Drug Medicare AllowedAmount |
695672.36 |
Total Drug Medicare PaymentAmount |
529833.95 |
Total Drug Medicare Standardized Payment Amount |
529833.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
10097 |
Number Of Medicare Beneficiaries With Medical Services |
2341 |
Total Medical Submitted Charge Amount |
2677561 |
Total Medical Medicare Allowed Amount |
1011544.73 |
Total Medical Medicare Payment Amount |
745955.82 |
Total Medical Medicare Standardized Payment Amount |
760502.32 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
1007 |
Number Of Beneficiaries Age 75 to 84 |
874 |
Number Of Beneficiaries Age Greater 84 |
312 |
Number Of Female Beneficiaries |
1394 |
Number Of Male Beneficiaries |
947 |
Number Of Non Hispanic White Beneficiaries |
2222 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
2156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
185 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0772 |